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  • Submitted by Shagun Korla, MBBS, MS
    File Size: 313 KB
    Cataract/Anterior Segment

    A cataract can be congenital or acquired. Senile cataract is the most common type of acquired cataract. In Morgagnian cataract, the cortex liquefies and the lens core hardens and becomes cloudy. A 71-year-old woman presented with gradual, painless diminution of vision in left eye that manifested over the past 6 months. Her best corrected visual acuity in the left eye was hand movements close to the face. Slit-lamp examination showed a transparent capsule with intact zonules from 10 o’clock to 4 o’clock, with a dense nucleus in the bag inferiorly. There was no vitreous in anterior chamber. Intraocular pressure and the B-scan of left eye were normal. The patient underwent successful surgery with intraocular lens implantation. This image highlights the importance of differentiating between a Morgagnian cataract and an inferiorly subluxated lens due to superior zonular dialysis.